Heart Blocks Made Easy | ECG EKG Interpretation (Part 6)
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In this 6th and last lesson in this series we bring you heart blocks explained. We take the often confusing and complicated subject and try and have heart blocks made easy to understand.
We start off covering the different bundle branch blocks that you will often see in your patients. We talk about how you should be using your V lead for this interpretation unlike Lead II for all the others we have discussed as well as we talk about some of the causes, defining characteristics and ultimately how to differentiate between a left and a right bundle branch block.
From there we move on to our AV blocks and we cover the whole gamut of blocks from 1st degree, to 2nd degree type I (Wenckebach), to 2nd degree type II, and finally 3rd degree or complete heart block. We explain what the problem is in the conduction system with each of these which lead to the different blocks that you see on ecg. We also set some defined criteria to look at and compare between these 4 blocks to help to make it easier to be able to identify each. They all have their own unique characteristics which can be useful for telling them apart.
Our goal is by the end of this lesson that you will have the knowledge and tools that you need to start practicing identifying these various heart blocks with your patients. They can be tricky at first, but if you take the information we give you in this lesson, take some time, and dedicate some practice, you can get these down!
6-second ECG: www.skillstat.com/tools/ecg-s...
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Make sure and check out all the lessons in this series on EKG Interpretation here: • ECG/EKG Interpretation
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Also check out these other great series of lessons:
Hemodynamics Principals: • Hemodynamic Principals
Shock: • Shock
Arterial Blood Gases: • Arterial Blood Gases (...
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#EKGInterpretation #HeartBlocks #ICUAdvantage
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If R is too (0.2) far from P, then you have a first degree.
Longer, longer, longer drop, then you have a wenckebach.
If some P's don't get through, then you have a Mobitz II.
If P's and Q's don't agree, then you have a third degree.
I LOVE THIS! Thank you for sharing!
This is how I was taught also, love the heart block poem!
this is amazing thank you
How about if there’s only one longer drop then a missed beat? Seems like a guess as to Mobitz 1 or 2 as it’s unique.
thxxx
This is the most organized, well explained EKG interpretation video I've ever seen. Thank you so much for your time and the effort! These videos (part1-6) helped me A LOT!
So happy to hear this Miji! Glad to know you found these lessons useful and beneficial. Thank you for taking the time to leave a comment!
I
i really appreciated the outstanding demonstrations & interpretations of these lessons. thank you again for the pain-staking efforts & exceptional abilities to teach so many of us the right way.
I agree 👌
Yep. Eddie Watson is my favorite youtube explainer. He is AMAZING, super clear, organized, and thorough.
I am so thankful for these. I was so frustrated trying to complete a learning module regarding these earlier. Now I can go back to it with a clear head and even temper ❤
Just thought I'd drop a comment and say I love your videos, man. I'm not in the ICU yet, but in a demanding cardiac tele unit. You've helped me feel somewhat prepared for some RRTs I've had to call lately. As a new grad, it's given me some confidence. Keep it up!
Thank you for making EKG simple to understand
Happy to help!
Thank you. Brushing up for ACLS tomorrow. I like the audio vs reading a manual.
You made it so much easier to understand the rhythms. Thank you
Awesome set of videos. Thank you!
I am elated that I found your teaching , it is simplified and very informative, Suburb teaching , I think it the best I've seen, It is done in such a way that I can understand and remember and know the rational, Thank you very much !!!
I'm a heart failure survivor who 15 years ago was diagnosed with dilated cardiomyopathy with a left bundle branch block, and a 15 % ejection fraction. Hypertensive with A flutter, and bouts of V tach. Needless to say, I was pretty messed up and most of it was from stress brought on by a woman! Oh, to be fair, a high stress job may have had a little to do with it but it was actually fun! No drugs or drinking, EVER! Unlike their first assumption every time, even without any evidence what so ever from years of testing .They called it idiopathic until I dumped the woman and got a new one that was as perfect as could be. Suddenly, all my symptoms changed and my prognosis went from maybe a 1.5 year survival rate to ... Well, we don't know now. 15 years later, I'm starting to have significant problems again. They haven'r figured out the problem as yet, but your programs are helping me to understand the pathology a bit better and I can relate it to my extensive engineering background and contribute in my diagnosis and treatment program. Thanks guys. I just had endocarditis brought on by a round of sepsis with 2 pulmonary embolisms just for fun and then was severely burned when I had a seizure in the shower after getting in while adjusting the water temp. There's no regulator in this thing and the hot temp is a s high as 180 degrees which scalded the skin right off my legs and lower ass. 3rd degree burns requiring 2 month in the burn ward sedated . It took all the steam out of my engines so I've got a lot of physical therapy to catch up on.30 seconds of exertion and I'm huffin and puffin trying to catch a breath. It's not anything minor either. I mean I'm seriously fighting to get oxygen to my brain like I have a bag of helium over my head. All the while my pulse oxygen concentration is in the low 90's it's just not circulating like it should. Any thoughts? grrrwink@yahoo.com
I might add that I've had 4 stints, 2 anterior and 2 posterior, 3 ablations, one on the septal wall, one in the upper right for flutter, and one very recently in the upper left for A fib with a atrial rate of over 340 which delivered 2 very powerful shocks to capture and control which caused a lightening storm in my damn eyes and made me piss my pants! I'm in serious pain from injuries to my lower back over the years resulting in the fusion of two lumbar vertebrae and the associated hardware. The pain raises my blood pressure and it causes stress on my heart which responds in a higher rate and all the associated rhythm problems that happen once it gets above 130 or more. What I hate the most is when my heart starts beating to jazz music! I hate jazz music! It's uneducated lazy garbage with no organization played by drunks to be listened to by drunks! But even that's better than this pathetic rap crap! I play soft progressive 70's pop music and some well produced rock and roll, so long as it has cadence and lyrics that aren't repulsive. I mention music because it's some of the best therapy there is to control your emotions and moods which control the speed and power of your heart rhythms, reducing the possibilities of receiving therapy from a defibrillator, which as anyone who has had this will tell you is no fun at all! Unless your a woman having sex with a man who has it happen to him. I read that she will feel a mild tingling sensation that can be very stimulating. But trust me guys.... It's not worth it and no woman is good enough to put yourself through the agony of getting the shit or piss shocked out of you just for that! Put a capacitor and a freyed wire in her vibrator and she can get a 9 volt thrill out of that. I've been shocked 17 times over the 15 years since I had this thing installed. At least 9 of them were needed, but the rest may have been because of the adjustments not being quite right. I think they still haven't figured out the root cause of my issues and have been treating the symptoms almost blindly. This shortness of breath is severe and sudden and brought on with very minimal exertion, often times just by bending over to tie a shoe and recently simply by thinking about getting physical but doing nothing! It's like flipping a switch and it comes on, lasts up to 15 minutes and fades away, but during that time, I'm suffocating! 6 L of O2 and no movement make no difference, only time and concentration will reverse the situation. I've tried Adivan at up to 4 mgs and it helps a little, but it's certainly not a magic bullet. My greatest fear is that I'm going to die this way and it will be like half an hour of suffocating before the strain stops my heart and I go. I'm not afraid of dying, I believe in reincarnation and am actually looking forward to the journey that waits beyond our present experience. That's why I place so much value on being a good person and not lying or stealing or taking from others just to improve my situation in some minor fleeting way unless I can give back what I took and many times that. We create our own hell and conversely, our own heavens as well. I would love to discuss this with anyone as well. I'm kinda of a lonely guy due to my restrictions lately.
Something that might help some of us is if for a while at least, you would add an image of the standard complex and label the normal landmarks for rapid identification during the discussion. Further, when bringing up a structure on the line, a brief description of it's function as related to normal heart function, such as a P rise being the signal to start the following complex, replaced or modified by the pulse from a generator. It took me years trying to get practitioners to at least attempt to explain this stuff to me in the short time allotted them for a visit. I was actually able to get more from the nurses, but only after convincing them that I had the requisite knowledge of the anatomy and physiology to understand the whole process. It was then that I found that many of them knew even less than I did which explained why they were being so dodgy in their responses. When teaching such a complicated subject, redundancy is reinforcement and never a bad thing. It's how we learn!
This series and the analogies really helped me a lot. Thanks for making EKG interpretation more straight forward and less stressful.
Ty, I love how simply you explain the heart blocks....❤❤❤
where have you been all my life man. I used youtube for several years and i just stumble on your channel. Very informative, tact and useful. I am a subscriber for life 🫡🫡😎
Haha I dunno man. Guess the YT algorithm doing what it does. Glad to have you aboard!
I absolutely adore it! thank you so much! just made my life easier!
Thank you, thank you, thank you! This series has really helped me to understand the pathophysiology and interpret the rhythms. Would recommend everyone who uses ECGs should watch these 6 videos.
Thank you for posting this. Very useful
Well... I was not technically kinda.. ECG kind of guy... But i followed this series following my hospital postings.... And now Alhmadulillah I can judge things pretty smoothly.
This is so awesome to hear!
Thank you Eddie! I watched all 6 of the videos, before I had to take the role of a monitor tech and I was all set.
Awesome! Happy to be able to help!
Thank you, it really helps me understand how to read ECG in preparation for my ACLS…❤❤❤
great series. just completed - concise and easy to follow
Thank you for your analogies!
A really great series of lectures..
Well presented and really easy to follow
Thank you
Thank you for making this so simple to remember
Great speaker! Have watched them all, thanks so much!!
Awesome! Glad you liked them Melinda
you made it very simple to understand. thank u so much
Thank you for this video series! This channel is amazing!
You are very welcome Charwin!
I love the husband and wife anology! 😂😂
thank you so much for these videos
Excellent teacher 👨🏫 thank you so very much
You are very welcome
Thank you this helped me a lot ❤
Thank you so much for these! I am in training for a Cardiopulmonary Tech and these helped me understand everything so much better.
Thank you! I just started a new role in a multi specialty/surgical ICU. Your lectures have been a valuable addition to my FCCN courses.
really appreciated the informed insight for each blockage . Great work. I look forward to many more.
Awesome. Glad you liked it Ulysses. Many more in this series, and lots of other critical care videos :)
Excellent…just started in EP and these videos are great! Thank you
Awesome! Congrats on the new EP gig and glad you enjoy the videos
Best explanation on you tube ever! Thank you for your time and efforts! much appreciated!
Wow thank you so much!
Thank you very much. Very clear. Simplified my study session
Awesome and simplified! Thanks!
Sweet! You are welcome!
The best nursing lectures one could have while in nursing school. I am starting my ICU rotation on Monday, and I feel so prepared and confident after listening to your lectures during the summer. Thank you so much for your hard work, I appreciate you very much.
Finally someone that makes sense !!! Thank you 😊🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼😌 going to MICU soon and this definitely help!!!
I watched all 6 parts and your explanations are very clear and easy to understand. Also the use of analogies makes the lecture more interesting and easy to follow. Thank you for breaking this down to a "kindergarten level" !!! Also I saved all 6parts for constant reviewing!!
Great explanations!
Very useful.
Thank you! Happy to hear this.
Awesome series of lectures. Thank you!
Thank you Sara! Glad you liked them!
amazing series
The most clear and logical elanation of heart blocks!!! Thank you so much for this video!❤️
Thank you! Glad it was helpful!
Really AWESOME video lessons. Thank you so much. It really helped simplify a big text book. FANTASTIC
Sweet! Awesome to hear this Michael.
thank you so much .. really made more sense to me
don't stop what you do
Thank you so much! I really appreciate the content.
My pleasure!
First off, thank you so much for this EKG series. It made understanding them so much easier.
I was wondering if you have any lessons on the identification of J point in real-life EKG strips, and go in-depth of identifying ST elevation/depressions. Also, a lesson on pacemakers on EKG strips would be great!
Thank you.
You’re amazing! thank you sooo much, you helped me a lot ^^
Thank you for this lesson! I think you saved my sanity!
I'm so glad that I could help you keep your sanity Kristin! 😊
Excellent and well explained ECG interpretation video. This helped me a lot. Thank you!!
Really happy to hear this!
Oh my gosh! We covered this in nursing school, but this made way more sense for some reason explained this way. Thank you! You are a great teacher! :D
So glad to hear this video was able to speak to you!
This is so helpful, thank you so very much. I also appreciate how you didn't overwhelm us by separating your videos and made series.
Glad to hear this. And thanks for the feedback. I do try to split them up to make them digestible. 😊
Thank you so much for this series. I have struggled with trying to understand ECG rhythms from merely reading about them and these videos really helped me get my head around it. Much appreciated!
Awesome! Really happy to hear this Cassidy. Sometimes it helps hearing things different ways until you find the one that makes it click. Glad to be able to help.
Thank you so much for all of your videos! It all has helped me for my Monitor tech classes.
You are so welcome! Glad to hear that!
Thank you so much for your heart blocks explanation videos.
You are so welcome!
You’re explanation is very clear..thank you for sharing.
Glad you liked it!
Man you’re the best
I appreciate your effort to present this series and make it easy to learn, and I hope to make more lectures about ICU procedures like this.. thanks for helping us ❣️☺️
Truly my pleasure to be able to help!
Excellent piece of work
Thank you so much!
I did ACLS and ECG interpretation...this is good staff!!!+
Thank so much for this!
You are very welcome! 😊
Mr watson..God bless you. Just got done watching all 6 vidoes in this category, they really truly helped me alot with my ekg school. Very understandable and helpful. Keep up the awesome job.
Yay!! Really glad to hear you liked the videos and they were able to help you to understand things better. Thank you for the great comment!
Just watched all of these and made note cards. Thanks so much, super helpful!!
Awesome! Glad you liked them.
Please can you send me the note
Thank you so much. You have clearly discussed each case which is very helpful. God bless
Thank you!
Every time i learn about ECG, id forget about them after few days. So when the time comes that I need to re-learn them all, I’m truly thankful that I got your videos handful. You earned another subscriber today!
Awesome! Welcome aboard! Glad you liked the videos and found them helpful.
transitioning from ER to a cardiac step-down unit and these videos are really great! Clear, comprehensive, quality graphics, and a smooth presentation.
Awesome! Glad you liked it Aaron and all the best on your new adventure!
thank you for this quick and easy refresh! this is truly helpful to an easy and early recognize any compromise might come to our patients in health care setting. working in cardiac icu here by the way. Keep damn saving lives 🥰
Thank you so much Venisse! Really glad to hear that the video was helpful for you. Appreciate you and your support! ❤️
Very helpful. Thanks very much.
Glad it was helpful! You're very welcome!
Very well explained sir all these video series !!😊👍
Yay! Really happy to hear this! Thank you!
I’ve got a bad situation where cardiologist can’t tell if I’m mobitz 1 or 2. I only have 1 PR lengthing before the missed beat as opposed to the usual 3-5 lengthenings that occur in mobitz 1. It seems closer to Mobitz 2 in the sense there are zero PR lengthenings but at the same time it’s hard to say as there’s still one. Always happens a couple times during sleep only.
Thank you so much for this video! It would be awesome if you could include another series or video going over the typical treatments for each of the rhythms you described.
You’re welcome. That’s a good idea and certainly something I’ll plan to do it the future. Thanks for the suggestion!
great job and teaching this subject!!!!!!!!!!!!
Thank you so much for this comment Nathaniel! I'm glad you liked it!
Am just starting to watch and am excited lol
Awesome! Hope you like them! :)
Very helpful!
Glad it was helpful!
This was amazing!!
Wow, thank you Anne!
Oh my goodness you make it so easy to understand. I’m a medical assistant students here. Thank you for all you do. I always watched your blog.
Yay! I'm so happy to hear this! Glad I was able to explain it in a way that helps it to make sense. Best of luck in your studies!
These videos quite literally saved my life!! I'm studying exercise physiology and you covered everything that we needed! I wish I'd found these videos before the night of my exam 😭
Wow Jade, thank you so much for the great comment! Really happy to hear you found the video helpful! I also wish you had found them sooner!
hahah! Longer, longer, longer, drop ... then you have a wenkebach! That cracked me up!
Haha, it sounds so good, and also helps to remember it!
Very educating, useful and beneficial services of videos.
Glad you think so!
@@ICUAdvantage I mean series of videos. Very glad indeed. As a nurse anaesthetist with much interest in critical care, I will keep on watching you videos. Thanks.
I write my rhythms exam tomorrow and I am SO HAPPY I found your channel. You do a great job of breaking things down simply but with enough detail that concepts make sense. THANK YOU!
Thank you so much. I appreciate you and the kind words. You'll have to update me and let me know how you did!
Super helpful!!!!!
Brilliant series of lectures! UK vet student here, great revision tool
How cool! Thank you so much Molly!
Thank you
Very helpful ! It wouldve been nice if the last video of the series was quiz style video.
Thank you so much 👍👍👍
Most welcome 😊
Thank you so much for the lecture. It has really enhanced my understanding of heart block. I appreciate it. It could be better if you outlined the treatment for each.
You're welcome Atekit! 🙂
Superb lecture!
Thanks Socorro! Haven't seen you in a bit. Hope you've been well!
@@ICUAdvantage i am currently detailed at COVID OR here in the Philippines and we have so many COVID positive surgeries these past few weeks. Even If I bring my IPAD with me, I am mostly unable to open it to see your lecture videos. I also love your lecture series on ENDOCRINE disorders. I hope to pass NCLEX this May. Thank you for generously sharing your gift of knowledge.
Thanks so much for the videos and the time you put into them. They helped so much. I am a Unit Secretary and have to take the test for monitors in 2 weeks and I was completely lost. Video 1 was perfect for someone who has never worked in the medical field or had medical training. All the others I've watched don't include the basics of how the heart works. After watching I think I may have a chance of passing.
This is so awesome to hear Samantha! I'm really glad to hear this series was what you were looking for. I'm wishing you on the best on your test, and you'll have to follow up and let me know how you do! Best of luck!
Thanks!
Thank you so much for this!!
thank you sir. thanks a lot
Youre very welcome!
Great EKG series! Would love to see a video on 12-lead EKG interpretation ❤
Yes! It’s coming soonish
@@ICUAdvantage Awesome. Can’t wait :) Thanks for all of your hard work
Thank you!!!
You're welcome!
Thank!
Thank you so much Mr Watson , great presentation, best one I have heard so far, God bless
Awesome to hear this Lizy! Thank you so much and glad you liked it.
I used to fear telemetry monitors since I am a mediocre vis-a-vis EKG reading 😁. these EKG lecture (1-6) videos helped me understand it in the most simplest way possible. Thank you Eddie Watson!
Woohoo Socorro! :) Truly glad to be able to help you. Look up "6 second ECG" and practice there. Its a great resource to help get them down!
@@ICUAdvantage GOD WILL BLESS YOU MORE FOR YOUR GENEROSITY. SELFLESSLY SHARING YOUR KNOWLEDGE AND GIFT OF WISDOM. I AM SET TO SIT THE NECLEX 3 MONTHS FROM NOW. I HOPE THEY GIVE ME ECG QUESTIONS 😁👌
Bless man
Thank you tremendously for compiling these videos for our benefit. Now that we’ve got an extensive general overview of the EKG patterns I was wondering if you could incorporate patterns that are more relevant to the real life scenarios like what we see on a typical 12 lead EKG. Identifying these patterns in patterns provided by textbook drawings are so much easier to pick up than looking through an actual 12 lead EKG. Far too many times, real life 12 lead EKG does not depict anything that we are accustomed to seeing in the textbook drawings. Always have the trouble of identifying which lead is supposed to have inverted waves and which one is not. If you ever have the time of providing such video tutorials, I would really appreciate it.
Yes, 12-lead is a video that I plan to do in the future. Definitely a lot of information to unpack in 12-lead reading!